A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?

Correct Answer: B

Rationale: The correct answer is B because involving the patient in decision making increases their sense of control and promotes adherence to treatment. By establishing a contract with the patient for a specified weekly weight gain, the patient feels empowered and motivated to actively participate in their recovery process. This sense of control can help the patient overcome resistance to weight gain and improve compliance with treatment recommendations. Explanation for other choices: A: While collecting objective and subjective data is important in managing anorexia nervosa, it does not directly address the rationale for establishing a contract with the patient. C: Consent is indeed essential for treatment, but this choice does not address the importance of patient involvement in decision making for promoting adherence to treatment. D: While a team approach to treatment planning is crucial, it does not specifically explain the rationale for establishing a contract with the patient for weight gain.

Correct Answer: B

Rationale: The correct answer is B: Learning to delay gratification. In this stage, individuals develop impulse control and learn to consider consequences before acting. Larry's lack of guilt and disregard for others' rights indicate a failure to delay gratification, acting impulsively without regard for consequences. A: Learning to count on others focuses on developing trust in relationships, not relevant to Larry's situation. C: Identifying oneself involves establishing a sense of self and personal identity, not directly related to Larry's behavior. D: Developing skills in participation involves social interaction and cooperation, not addressing Larry's impulsivity and lack of guilt.

Correct Answer: B

Rationale: The correct answer is B: Surrogate. In this scenario, the nurse is assuming the role of a surrogate, representing the client's best interests and advocating for their well-being. The nurse is showing empathy and support by acknowledging Nancy's need for behavioral changes and expressing care. This aligns with Peplau's concept of the surrogate role, where the nurse acts as a substitute and supports the client's emotional needs. Choice A (Counselor) is incorrect because the nurse is not providing counseling or therapeutic interventions in this situation. Choice C (Technical Expert) is incorrect as the nurse is not primarily focused on providing technical knowledge or expertise. Choice D (Resource Person) is incorrect because the nurse is not primarily acting as a source of information or support for Nancy in this context.

Correct Answer: B

Rationale: The correct answer is B, the duty to avoid causing harm to others. Fidelity (nonmaleficence) is a fundamental principle in ethics and healthcare, emphasizing the importance of not harming individuals. This duty ensures that professionals prioritize the well-being and safety of their clients or patients. Choices A, C, and D are incorrect because they do not directly address the concept of nonmaleficence. Choice A focuses on beneficence, which is different from nonmaleficence. Choice C pertains to autonomy, while choice D relates to distributive justice, none of which directly align with the principle of avoiding harm.

Correct Answer: C

Rationale: The correct answer is C because a situational/external crisis refers to a crisis triggered by unanticipated loss or change, such as a sudden death or job loss. This type of crisis is external to the individual and typically beyond their control. Option A is incorrect as it describes a developmental crisis. Option B is incorrect as it refers to crises caused by external events like natural disasters. Option D is incorrect as it pertains to crises arising from internal struggles within an individual. Thus, C is the correct choice as it aligns with the definition of a situational/external crisis.